Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,162.28 / $10,964.78	Facility		$1,348.96	$3,162.28	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,348.96 / $3,311.31	Professional		$1,071.52	$1,348.96	$3,311.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,762.47 / $13,803.84	Facility		$4,073.80	$7,762.47	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,174.90 / $3,019.95	Professional		$912.01	$1,174.90	$3,019.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $37,153.52	Facility		$1,513.56	$1,513.56	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,862.09 / $50,118.72	Facility		$34.67	$1,862.09	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,089.30 / $5,495.41	Professional		$1,096.48	$2,089.30	$5,495.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,698.24 / $3,890.45	Facility		$1,230.27	$1,698.24	$3,890.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $2,137.96	Professional		$1,096.48	$1,513.56	$2,137.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,258.93 / $1,995.26	Professional		$776.25	$1,258.93	$1,995.26
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $50,118.72 / $75,857.76	Facility		$1,230.27	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,445.44 / $1,778.28	Professional		$398.11	$1,445.44	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,168.69 / $9,332.54	Facility		$1,513.56	$4,168.69	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $3,235.94	Professional		$1,000.00	$1,412.54	$3,235.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,348.96 / $3,630.78	Facility		$870.96	$1,348.96	$3,630.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,348.96 / $4,073.80	Professional		$776.25	$1,348.96	$4,073.80